经皮封堵和开胸修补治疗继发孔型房间隔缺损疗效比较的Meta分析
|
摘要
目的:系统评价经皮封堵和开胸修补两种术式治疗房间隔缺损的安全性和有效性。方法:计算机检索PubMed、Cochrane Library、VIP、Wanfang Data和CNKI数据库,查找关于经皮封堵和开胸修补治疗房间隔缺损相关研究文献,检索时限均从建库至2018年6月。由两位评价员按纳入与排除标准独立筛选文献、提取资料并评价质量后,采用RevMan 5.3软件进行Meta分析。结果:共纳入45个研究,2210例患者。Meta分析结果显示:经皮封堵治疗房间隔缺损在术后总并发症发生率[RR=0.30,95%CI(0.24,0.37)]、主要并发症发生率[RR=0.27,95%CI(0.20,0.37)]、心律失常发生率[RR=0.40,95%CI(0.30,0.52)]、心包积液发生率[RR=0.16,95%CI(0.09,0.28)]、手术时间[SMD=-3.23,95%CI(-4.04,-2.43)]、总住院时间[SMD=-2.74,95%CI(-3.16,-2.32)]、术后住院时间[SMD=-4.99,95%CI(-6.60,-3.39)]比较中均优于开胸修补,而在手术成功率[RR=0.98,95%CI(0.97,0.99)]、残余分流发生率[RR=1.73,95%CI(1.05,2.85)]、手术花费[SMD=1.86,95%CI(1.06,2.66)]比较中外科修补占优势。结论:现有证据表明,经皮房间隔缺损封堵术较传统开胸房间隔缺损修补术对患者创伤小,手术时间短,患者术后恢复良好,并发症发生率低,值得临床进一步推广应用。
Objective:To systematically evaluate the safety and effectiveness of transcatheter closure and thoracotomy in the treatment of atrial septal defect. Methods: The database of PubMed,the Cochrane Library,VIP,Wanfang Data and CNKI was searched by computer for relevant research literature. The retrieval time was from database establishment to June 2018.Two reviewers independently screened the literature,extracted the data and evaluated the quality according to the inclusion and exclusion criteria. Meta-analysis was performed using Rev Man 5.3 software. Results: A total of 45 studies and 2210 patients were included. Meta-analysis showed that the incidence of total complications[RR=0.30,95%CI(0.24,0.37)],major complications[RR=0.27,95%CI(0.20,0.37)],incidence of arrhythmia[RR=0.40,95%CI(0.30,0.52)],incidence of pericardial effusion[RR=0.16,95%CI(0.09,0.28)],operation time[SMD=-3.23,95%CI(-4.04,-2.43)],total hospital stay[SMD=-2.74,95%CI(-3.16,-2.32)],and post-operative stay[SMD=-4.99,95%CI(-6.60,-3.39)]in patients with atrial septal defect treated by percutaneous occlusion was superior to thoracotomy.Surgical repair had advantages in the success rate of operation[RR =0.98,95%CI(0.97,0.99)],the incidence of residual shunt[RR=1.73,95%CI(1.05,2.85)]and the cost of operation[SMD=1.86,95% CI(1.06,2.66)]. Conclusion: Current evidence shows that percutaneous atrial septal defect occlusion is less traumatic, shorter operation time, better recovery and lower complication rate than traditional thoracotomy atrial septal defect repair. It is worthy of further promotion and application in clinic.
Objective:To systematically evaluate the safety and effectiveness of transcatheter closure and thoracotomy in the treatment of atrial septal defect. Methods: The database of PubMed,the Cochrane Library,VIP,Wanfang Data and CNKI was searched by computer for relevant research literature. The retrieval time was from database establishment to June 2018.Two reviewers independently screened the literature,extracted the data and evaluated the quality according to the inclusion and exclusion criteria. Meta-analysis was performed using Rev Man 5.3 software. Results: A total of 45 studies and 2210 patients were included. Meta-analysis showed that the incidence of total complications[RR=0.30,95%CI(0.24,0.37)],major complications[RR=0.27,95%CI(0.20,0.37)],incidence of arrhythmia[RR=0.40,95%CI(0.30,0.52)],incidence of pericardial effusion[RR=0.16,95%CI(0.09,0.28)],operation time[SMD=-3.23,95%CI(-4.04,-2.43)],total hospital stay[SMD=-2.74,95%CI(-3.16,-2.32)],and post-operative stay[SMD=-4.99,95%CI(-6.60,-3.39)]in patients with atrial septal defect treated by percutaneous occlusion was superior to thoracotomy.Surgical repair had advantages in the success rate of operation[RR =0.98,95%CI(0.97,0.99)],the incidence of residual shunt[RR=1.73,95%CI(1.05,2.85)]and the cost of operation[SMD=1.86,95% CI(1.06,2.66)]. Conclusion: Current evidence shows that percutaneous atrial septal defect occlusion is less traumatic, shorter operation time, better recovery and lower complication rate than traditional thoracotomy atrial septal defect repair. It is worthy of further promotion and application in clinic.
引文
[1]Bernier PL,Stefanescu A,Samoukovic G,et al.The challenge ofcongenital heart disease worldwide:epidemiologic and demographic facts[C].Seminars in Thoracic and Cardiovascular Surgery:Pediatric Cardiac SurgeryAnnual.WBSaunders,2010,13(1):26-34.
[2]Van d LD,Konings EE,Slager MA,et al.Birth prevalence of congenital heart disease worldwide:a system aticreview and meta-analysis[J].Journal of the American College of Cardiology,2011,58(21):2241-2247.
[3]Geva T,Martins JD,Wald RM.Atrial septal defects[J].The Lancet,2014,383(9932):1921-1932.
[4]Webb G,Gatzoulis MA.Atrial septal defects in the adult:recent progress and overview[J].Circulation,2006,114(15):1645-1653.
[5]Nyboe C,Fenger-Grn M,Nielsen-Kudsk J E,et al.Closure of secundum atrial septal defects in the adult and elderly patients[J].European Journal ofCardio-thoracic Surgery,2013,43(4):752-757.
[6]King TD,Thompson SL,Steiner C,et al.Secundum atrial septal defect:nonoperative closure during cardiac catheterization[J].Jama,1976,235(23):2506-2509.
[7]Berger F,Vogel M,Alexi-Meskishvili V,et al.Comparison of results and complications of surgical and Amplatzer device closure of atrial septal defects[J].The Journal ofthoracic and cardiovascular surgery,1999,118(4):674-680.
[8]王宝珠,孟凡华,马翔,等.经导管与外科手术治疗继发孔型房间隔缺损的Meta分析[J].中国介入心脏病学杂志,2018,26(8):32-41.
[9]Villablanca PA,Briston DA,JosepRodés Cabau,et al.Treatment options for the closure of secundum atrial septal defects:A systematic reviewand meta-analysis[J].International Journal ofCardiology,2015,66(15):302.
[10]Wells GA,Shea B,O’Connell D,et al.The Newcastle-Ottawa Scale(NOS)for assessing the quality of non-randomized studies in meta-analysis.Ottawa Health Research Institute[J].2012.Available at:http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp
[11]Formigari R,Di Donato R M,Mazzera E,et al.Minimally invasive or interventional repair of atrial septal defects in children:experience in 171cases and comparison with conventional strategies[J].Journal of the American College ofCardiology,2001,37(6):1707-1712.
[12]Du ZD,Hijazi ZM,Kleinman CS,et al.Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults:results of a multicenter nonrandomized trial[J].Journal of the American College ofCardiology,2002,39(11):1836-1844.
[13]Durongpisitkul K,Soongswang J,Laohaprasitiporn D,et al.Comparison of atrial septal defect closure using Amplatzer septal occluder with surgery[J].Pediatric cardiology,2002,23(1):36-40.
[14]Kim JJ,Hijazi ZM.Clinical outcomes and costs of Amplatzer transcatheter closure as compared with surgical closure of ostium secundum atrial septal defects[J].Medical Science Monitor,2002,8(12):CR787-CR791.
[15]Thomson JD R,Aburawi EH,Watterson KG,et al.Surgical and transcatheter(Amplatzer)closure of atrial septal defects:a prospective comparison ofresults and cost[J].Heart,2002,87(5):466-469.
[16]Bettencourt N,Salome N,Carneiro F,et al.Atrial septal closure in adults:surgery versus amplatzer-comparison of results[J].Rev Port Cardiol,2003,22(10):1203-1211.
[17]程云阁,俞世强,张玉顺,等.房间隔缺损3种治疗方法的比较[J].心脏杂志,2003,15(6):552-554.
[18]杨荣,孔祥清,盛燕辉,等.继发孔房间隔缺损的Amplatzer封闭器介入外科手术治疗的对比研究(英文)[J].中国现代医学杂志,2003,13(24):33-36.
[19]Bialkowski J,Karwot B,Szkutnik M,et al.Closure of atrial septal defects in children:Surgery versus Amplatzer device implantation[J].Texas Heart Institute Journal,2004,31(3):220.
[20]冯碧霞,黄新胜,张镜芳,等.50岁以上房间隔缺损介入与外科治疗的对比研究[J].中华胸心血管外科杂志,2004,20(3):139-141.
[21]唐建军,祁述善,周胜华,等.国产自膨式房缺堵闭器与外科手术治疗继发孔性房间隔缺损疗效的对比研究[J].中国现代医学杂志,2004,14(6):116-118.
[22]杨振文,戴汝平,张戈军,等.继发孔型房间隔缺损介入治疗和外科手术的对比分析[J].中华心血管病杂志,2004,32(5):390-393.
[23]Vida VL,Barnoya J,O’Connell M,et al.Surgical versus percutaneous occlusion of ostium secundum atrial septal defects:results and cost-effective considerations in a low-income country[J].Journal of the American College ofCardiology,2006,47(2):326-331.
[24]孙书红,张华,杨星昌.介入封堵术与外科手术治疗继发孔房间隔缺损的对比研究[J].中国医师进修杂志,2006,29(16):45-46.
[25]赵子牛,吴蓉洲,赵琦峰,等.房间隔缺损介入与外科手术治疗疗效对比[J].实用儿科临床杂志,2006,21(13):865-866.
[26]Jones TK,Latson LA,Zahn E,et al.Results of the US multicenter pivotal study of the HELEX septal occluder for percutaneous closure of secundumatrial septal defects[J].Journal ofthe American College of Cardiology,2007,49(22):2215-2221.
[27]Rosas M,Zabal C,Garcia-Montes J,et al.Transcatheter versus surgical closure ofsecundumatrial septal defect in adults:impact ofage at intervention.A concurrent matched comparative study[J].Congenital heart disease,2007,2(3):148-155.
[28]王诚,赵世华,蒋世良,等.40岁以上患者继发孔型房间隔缺损经导管封堵与外科手术的对比研究[J].介入放射学杂志,2007,16(2):79-83.
[29]伍广伟,林英忠,王孟杰,等.房间隔缺损介入治疗和外科手术的对比分析[J].心血管康复医学杂志,2007,16(5):480-483.
[30]谢育梅,张智伟,曾国洪,等.国产双盘封堵器封堵儿童继发孔房间隔缺损与外科手术的对照研究[J].心脏杂志,2007,19(4):471-473.
[31]易岂建,李谧,吕铁伟,等.经导管封堵器与心脏直视手术治疗房间隔缺损疗效对比分析[J].中国实用儿科杂志,2008,23(6):450-451.
[32]祁长敏,高虹.房间隔缺损三种治疗方法的比较研究[J].四川医学,2009,30(6):844-846.
[33]Suchon E,Pieculewicz M,Tracz W,et al.Transcatheter closure as an alternative and equivalent method to the surgical treatment of atrial septal defect in adults:comparison ofearlyand late results[J].medical science monitor,2009,15(12):CR612-CR617.
[34]孙颖,严文华,孙凌,等.经导管介入封堵术与外科手术治疗房间隔缺损的临床分析[J].中国血液流变学杂志,2009,19(3):461-462.
[35]齐鲁.小儿房间隔缺损经导管封堵、外科微创封堵和开胸修补术的结果对比分析[D].济南:山东大学,2010.
[36]Quek SC,Hota S,Tai BC,et al.Comparison of clinical outcomes and cost between surgical and transcatheter device closure of atrial septal defects in Singapore children[J].Annals Academy of Medicine Singapore,2010,39(8):629.
[37]王建军,孙艳丽,李杨.介入封堵和手术修补治疗继发孔型房间隔缺损的对照研究[J].中国民康医学,2012,24(15):1817-1820.
[38]Costa RN,Ribeiro MS,Pereira FL,et al.Percutaneous versus surgical closure of atrial septal defects in children and adolescents[J].Arquivosbrasileiros de cardiologia,2013,100(4):347-354.
[39]张红改.房间隔缺损介入治疗与心内直视下修补手术的比较[J].医学信息旬刊,2013,26(8):397-397.
[40]Bolcal C,Arslan G,Kadan M,et al.Is there a role for surgeryin the management of isolated secundum atrial septal defect in adults[J].Cardiovascular journal ofAfrica,2014,25(3):114.
[41]Siddiqui WT,Usman T,Atiq M,et al.Transcatheter versus surgical closure of atrial septum defect:a debate from a developing country[J].Journal ofcardiovascular and thoracic research,2014,6(4):205.
[42]Hoashi T,Yazaki S,Kagisaki K,et al.Management of ostium secundum atrial septal defect in the era of percutaneous trans-catheter device closure:7-year experience at a single institution[J].Journal of cardiology,2015,65(5):418-422.
[43]O’Byrne ML,Gillespie MJ,Shinohara RT,et al.Cost comparison of transcatheter and operative closures of ostium secundum atrial septal defects[J].American heart journal,2015,169(5):727-735,e2.
[44]艾成,陈有东,程远建,等.经导管封堵术经胸微创封堵术及胸骨正中切口修补术治疗继发孔型房间隔缺损的临床疗效比较[J].河北医学,2016(7):1131-1133.
[45]Mishra S,Tomar M,Malhotra R,et al.Comparison between transcatheter closure and minimally invasive surgery for fossa ovalis atrial septal defect:a single institutional experience[J].Indian Heart Journal,2008,60(2):125-132.
[46]Berger F,Vogel M,Alexi-Meskishvili V,et al.Comparison of results and complications of surgical and Amplatzer device closure of atrial septal defects[J].The Journal ofthoracic and cardiovascular surgery,1999,118(4):674-680.
[47]Hughes ML,Maskell G,Goh T H,et al.Prospective comparison of costs and short term health outcomes of surgical versus device closure of atrial septal defect in children[J].Heart,2002,88(1):67-70.
[48]李涛,王作军,潘同国,等.Amplatzer封堵器与心脏直视手术治疗房间隔缺损的比较[J].中国实用儿科杂志,2002,17(10):616-617.
[49]代政学,郭游行,樊川民,等.经导管国产封堵器与心脏直视手术治疗房间隔缺损的对比研究[J].心脏杂志,2005(3):285-287.
[50]Butera G,Carminati M,Chessa M,et al.Percutaneous versus surgical closure of secundumatrial septal defect:comparison of earlyresults and complications[J].American heart journal,2006,151(1):228-234.
[51]阮兢,蔡仕俊,林茹珠,等.Amplatzer堵闭器与外科手术治疗继发孔型房间隔缺损的比较[J].临床和实验医学杂志,2006,5(6):686-687.
[52]张刚成,沈群山,姚艺.外科手术与导管介入封堵治疗继发孔型房间隔缺损的比较[J].心血管康复医学杂志,2009,18(5):486-488.
[53]迟立群,张健群,孔晴宇,等.60岁以上老年继发孔型房间隔缺损的治疗策略(附139例临床分析)[J].心肺血管病杂志,2010,29(2):128-131.
[54]李斌,张建华,高华,等.国产封堵器与外科手术治疗房间隔缺损的对比研究[J].中国综合临床,2010,26(6):617-620.
[55]Chen TH,Hsiao YC,Cheng CC,et al.In-hospital and 4-year clinical outcomes following transcatheter versus surgical closure for secundum atrialseptal defectin adults:anational cohortpropensity score analysis[J].Medicine,2015,94(38):e1524.
[2]Van d LD,Konings EE,Slager MA,et al.Birth prevalence of congenital heart disease worldwide:a system aticreview and meta-analysis[J].Journal of the American College of Cardiology,2011,58(21):2241-2247.
[3]Geva T,Martins JD,Wald RM.Atrial septal defects[J].The Lancet,2014,383(9932):1921-1932.
[4]Webb G,Gatzoulis MA.Atrial septal defects in the adult:recent progress and overview[J].Circulation,2006,114(15):1645-1653.
[5]Nyboe C,Fenger-Grn M,Nielsen-Kudsk J E,et al.Closure of secundum atrial septal defects in the adult and elderly patients[J].European Journal ofCardio-thoracic Surgery,2013,43(4):752-757.
[6]King TD,Thompson SL,Steiner C,et al.Secundum atrial septal defect:nonoperative closure during cardiac catheterization[J].Jama,1976,235(23):2506-2509.
[7]Berger F,Vogel M,Alexi-Meskishvili V,et al.Comparison of results and complications of surgical and Amplatzer device closure of atrial septal defects[J].The Journal ofthoracic and cardiovascular surgery,1999,118(4):674-680.
[8]王宝珠,孟凡华,马翔,等.经导管与外科手术治疗继发孔型房间隔缺损的Meta分析[J].中国介入心脏病学杂志,2018,26(8):32-41.
[9]Villablanca PA,Briston DA,JosepRodés Cabau,et al.Treatment options for the closure of secundum atrial septal defects:A systematic reviewand meta-analysis[J].International Journal ofCardiology,2015,66(15):302.
[10]Wells GA,Shea B,O’Connell D,et al.The Newcastle-Ottawa Scale(NOS)for assessing the quality of non-randomized studies in meta-analysis.Ottawa Health Research Institute[J].2012.Available at:http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp
[11]Formigari R,Di Donato R M,Mazzera E,et al.Minimally invasive or interventional repair of atrial septal defects in children:experience in 171cases and comparison with conventional strategies[J].Journal of the American College ofCardiology,2001,37(6):1707-1712.
[12]Du ZD,Hijazi ZM,Kleinman CS,et al.Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults:results of a multicenter nonrandomized trial[J].Journal of the American College ofCardiology,2002,39(11):1836-1844.
[13]Durongpisitkul K,Soongswang J,Laohaprasitiporn D,et al.Comparison of atrial septal defect closure using Amplatzer septal occluder with surgery[J].Pediatric cardiology,2002,23(1):36-40.
[14]Kim JJ,Hijazi ZM.Clinical outcomes and costs of Amplatzer transcatheter closure as compared with surgical closure of ostium secundum atrial septal defects[J].Medical Science Monitor,2002,8(12):CR787-CR791.
[15]Thomson JD R,Aburawi EH,Watterson KG,et al.Surgical and transcatheter(Amplatzer)closure of atrial septal defects:a prospective comparison ofresults and cost[J].Heart,2002,87(5):466-469.
[16]Bettencourt N,Salome N,Carneiro F,et al.Atrial septal closure in adults:surgery versus amplatzer-comparison of results[J].Rev Port Cardiol,2003,22(10):1203-1211.
[17]程云阁,俞世强,张玉顺,等.房间隔缺损3种治疗方法的比较[J].心脏杂志,2003,15(6):552-554.
[18]杨荣,孔祥清,盛燕辉,等.继发孔房间隔缺损的Amplatzer封闭器介入外科手术治疗的对比研究(英文)[J].中国现代医学杂志,2003,13(24):33-36.
[19]Bialkowski J,Karwot B,Szkutnik M,et al.Closure of atrial septal defects in children:Surgery versus Amplatzer device implantation[J].Texas Heart Institute Journal,2004,31(3):220.
[20]冯碧霞,黄新胜,张镜芳,等.50岁以上房间隔缺损介入与外科治疗的对比研究[J].中华胸心血管外科杂志,2004,20(3):139-141.
[21]唐建军,祁述善,周胜华,等.国产自膨式房缺堵闭器与外科手术治疗继发孔性房间隔缺损疗效的对比研究[J].中国现代医学杂志,2004,14(6):116-118.
[22]杨振文,戴汝平,张戈军,等.继发孔型房间隔缺损介入治疗和外科手术的对比分析[J].中华心血管病杂志,2004,32(5):390-393.
[23]Vida VL,Barnoya J,O’Connell M,et al.Surgical versus percutaneous occlusion of ostium secundum atrial septal defects:results and cost-effective considerations in a low-income country[J].Journal of the American College ofCardiology,2006,47(2):326-331.
[24]孙书红,张华,杨星昌.介入封堵术与外科手术治疗继发孔房间隔缺损的对比研究[J].中国医师进修杂志,2006,29(16):45-46.
[25]赵子牛,吴蓉洲,赵琦峰,等.房间隔缺损介入与外科手术治疗疗效对比[J].实用儿科临床杂志,2006,21(13):865-866.
[26]Jones TK,Latson LA,Zahn E,et al.Results of the US multicenter pivotal study of the HELEX septal occluder for percutaneous closure of secundumatrial septal defects[J].Journal ofthe American College of Cardiology,2007,49(22):2215-2221.
[27]Rosas M,Zabal C,Garcia-Montes J,et al.Transcatheter versus surgical closure ofsecundumatrial septal defect in adults:impact ofage at intervention.A concurrent matched comparative study[J].Congenital heart disease,2007,2(3):148-155.
[28]王诚,赵世华,蒋世良,等.40岁以上患者继发孔型房间隔缺损经导管封堵与外科手术的对比研究[J].介入放射学杂志,2007,16(2):79-83.
[29]伍广伟,林英忠,王孟杰,等.房间隔缺损介入治疗和外科手术的对比分析[J].心血管康复医学杂志,2007,16(5):480-483.
[30]谢育梅,张智伟,曾国洪,等.国产双盘封堵器封堵儿童继发孔房间隔缺损与外科手术的对照研究[J].心脏杂志,2007,19(4):471-473.
[31]易岂建,李谧,吕铁伟,等.经导管封堵器与心脏直视手术治疗房间隔缺损疗效对比分析[J].中国实用儿科杂志,2008,23(6):450-451.
[32]祁长敏,高虹.房间隔缺损三种治疗方法的比较研究[J].四川医学,2009,30(6):844-846.
[33]Suchon E,Pieculewicz M,Tracz W,et al.Transcatheter closure as an alternative and equivalent method to the surgical treatment of atrial septal defect in adults:comparison ofearlyand late results[J].medical science monitor,2009,15(12):CR612-CR617.
[34]孙颖,严文华,孙凌,等.经导管介入封堵术与外科手术治疗房间隔缺损的临床分析[J].中国血液流变学杂志,2009,19(3):461-462.
[35]齐鲁.小儿房间隔缺损经导管封堵、外科微创封堵和开胸修补术的结果对比分析[D].济南:山东大学,2010.
[36]Quek SC,Hota S,Tai BC,et al.Comparison of clinical outcomes and cost between surgical and transcatheter device closure of atrial septal defects in Singapore children[J].Annals Academy of Medicine Singapore,2010,39(8):629.
[37]王建军,孙艳丽,李杨.介入封堵和手术修补治疗继发孔型房间隔缺损的对照研究[J].中国民康医学,2012,24(15):1817-1820.
[38]Costa RN,Ribeiro MS,Pereira FL,et al.Percutaneous versus surgical closure of atrial septal defects in children and adolescents[J].Arquivosbrasileiros de cardiologia,2013,100(4):347-354.
[39]张红改.房间隔缺损介入治疗与心内直视下修补手术的比较[J].医学信息旬刊,2013,26(8):397-397.
[40]Bolcal C,Arslan G,Kadan M,et al.Is there a role for surgeryin the management of isolated secundum atrial septal defect in adults[J].Cardiovascular journal ofAfrica,2014,25(3):114.
[41]Siddiqui WT,Usman T,Atiq M,et al.Transcatheter versus surgical closure of atrial septum defect:a debate from a developing country[J].Journal ofcardiovascular and thoracic research,2014,6(4):205.
[42]Hoashi T,Yazaki S,Kagisaki K,et al.Management of ostium secundum atrial septal defect in the era of percutaneous trans-catheter device closure:7-year experience at a single institution[J].Journal of cardiology,2015,65(5):418-422.
[43]O’Byrne ML,Gillespie MJ,Shinohara RT,et al.Cost comparison of transcatheter and operative closures of ostium secundum atrial septal defects[J].American heart journal,2015,169(5):727-735,e2.
[44]艾成,陈有东,程远建,等.经导管封堵术经胸微创封堵术及胸骨正中切口修补术治疗继发孔型房间隔缺损的临床疗效比较[J].河北医学,2016(7):1131-1133.
[45]Mishra S,Tomar M,Malhotra R,et al.Comparison between transcatheter closure and minimally invasive surgery for fossa ovalis atrial septal defect:a single institutional experience[J].Indian Heart Journal,2008,60(2):125-132.
[46]Berger F,Vogel M,Alexi-Meskishvili V,et al.Comparison of results and complications of surgical and Amplatzer device closure of atrial septal defects[J].The Journal ofthoracic and cardiovascular surgery,1999,118(4):674-680.
[47]Hughes ML,Maskell G,Goh T H,et al.Prospective comparison of costs and short term health outcomes of surgical versus device closure of atrial septal defect in children[J].Heart,2002,88(1):67-70.
[48]李涛,王作军,潘同国,等.Amplatzer封堵器与心脏直视手术治疗房间隔缺损的比较[J].中国实用儿科杂志,2002,17(10):616-617.
[49]代政学,郭游行,樊川民,等.经导管国产封堵器与心脏直视手术治疗房间隔缺损的对比研究[J].心脏杂志,2005(3):285-287.
[50]Butera G,Carminati M,Chessa M,et al.Percutaneous versus surgical closure of secundumatrial septal defect:comparison of earlyresults and complications[J].American heart journal,2006,151(1):228-234.
[51]阮兢,蔡仕俊,林茹珠,等.Amplatzer堵闭器与外科手术治疗继发孔型房间隔缺损的比较[J].临床和实验医学杂志,2006,5(6):686-687.
[52]张刚成,沈群山,姚艺.外科手术与导管介入封堵治疗继发孔型房间隔缺损的比较[J].心血管康复医学杂志,2009,18(5):486-488.
[53]迟立群,张健群,孔晴宇,等.60岁以上老年继发孔型房间隔缺损的治疗策略(附139例临床分析)[J].心肺血管病杂志,2010,29(2):128-131.
[54]李斌,张建华,高华,等.国产封堵器与外科手术治疗房间隔缺损的对比研究[J].中国综合临床,2010,26(6):617-620.
[55]Chen TH,Hsiao YC,Cheng CC,et al.In-hospital and 4-year clinical outcomes following transcatheter versus surgical closure for secundum atrialseptal defectin adults:anational cohortpropensity score analysis[J].Medicine,2015,94(38):e1524.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |